Health questionnaire Email Have any of your immediate family (parent, child, or sibling) had or has cancer? Skin cancer Lung cancer Prostate cancer Breast cancer Colorectal cancer Kidney cancer Bladder cancer Thyroid cancer Non-Hodgkin’s lymphoma Endometrial cancer None Other Have any of your relatives (cousin, niece, uncle, nephew, or grandparent) had or has cancer? Skin cancer Lung cancer Prostate cancer Breast cancer Colorectal cancer Kidney cancer Bladder cancer Thyroid cancer Non-Hodgkin’s lymphoma Endometrial cancer None Other Have you had cancer? Skin cancer Lung cancer Prostate cancer Breast cancer Colorectal cancer Kidney cancer Bladder cancer Thyroid cancer Non-Hodgkin’s lymphoma Endometrial cancer None Other What is your height? What is your weight? On a typical day, how many hours do you spend under the sun or driving per day? (Choose one that describes you most) Less than 1 hour 1-3 hours 4-6 hours More than 7 hours Skip (I understand this may impact the quality of the result) How often do you exercise? (Choose one that describes you most) I don’t exercise I exercise a few times a month I exercise a few times a week I exercise every day Skip (I understand this may impact the quality of the result) How much time do you usually spend sitting or reclining on a typical day? (Choose one that describes you most) Less than 1 hour 1-3 hours 4-6 hours More than 7 hours Skip (I understand this may impact the quality of the result) How often do you consume red meat as part of any meal? (Choose one that describes you most) Never A few times a month Few times a week Everyday Skip (I understand this may impact the quality of the result) How often do you consume fried food as part of any meal? (Choose one that describes you most) Never A few times a month Few times a week Everyday Skip (I understand this may impact the quality of the result) How often do you consume vegetables or salads? (Choose one that describes you most) Never A few times a month Few times a week Everyday Skip (I understand this may impact the quality of the result) How often do you smoke? (Choose one that describes you most) I don’t smoke I smoke a few times a month I smoke a few times a week I smoke every day Skip (I understand this may impact the quality of the result) How often do you drink? (Choose one that describes you most) I don’t drink I drink a few times a month I drink a few times a week I drink every day Skip (I understand this may impact the quality of the result) Finish
